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1407224934
ELLICIA JACOBS
LORTON, VA
NPI
1407224934
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305209780)
Enumeration Date
2015-09-15
Last Update Date
2015-09-15
Business Address
-- ELLICIA JACOBS PT,DPT
9447B LORTON MARKET ST SUITE 250
LORTON, VA 22079-1963
Phone number: 703-372-5716
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Mailing Address
-- ELLICIA JACOBS PT,DPT
9447B LORTON MARKET ST SUITE 250
LORTON, VA 22079-1963
Phone number:
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